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Iowa rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $66.07 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $95.50 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $61.66 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $74.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $23.99 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $51.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.29 / $51.29